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ZHU-17757-53522

5 vaccinations 8 coded responses 11 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
627 / IL
Registered
2022-10-07
Relationship
Self
Race
Native Hawaiian or other Pacific Islander
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-03-09
    Dose 2 — Moderna
  3. 2021-09-15
    Dose 3 — Moderna
  4. 2022-04-04
    Dose 4 — Moderna
  5. 2022-10-03
    Dose 5 — Moderna
  6. 2022-10-07
    Registered in v-safe
  7. 2022-10-07
    Survey response — days 1–6 daily, dose 5
    MedDRA: Dizziness postural — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Severe dizziness when sit up in bed and lay fown
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-10-08
    Survey response — days 1–6 daily, dose 5
    MedDRA: Dizziness, Dizziness postural — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Severe dizziness when getting out of bed and when lie down
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-10-09
    Survey response — days 1–6 daily, dose 5
    MedDRA: Dizziness postural — Feeling: Good · Site: Pain · Joint pains
    Free text: Severe dizziness when sitting up in bed and lying down.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-10-10
    Survey response — day 7, dose 5
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains
    Free text: Severe dizziness when get up in bed or lie down
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-10-17
    Survey response — day 14, dose 5
    MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Extreme dizziness when get up from Bed and laying back down
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-10-24
    Survey response — day 21, dose 5
    MedDRA: Office visit, Pre-existing disease, Weight bearing difficulty — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Injured arthritic rt knee. Unable to bear wt. Doc gave me cortisone injection.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-10-31
    Survey response — day 28, dose 5
    MedDRA: Dizziness postural — Feeling: Fair
    Free text: Continue to have severe dizziness when zi get up from bed or when I lay down
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-11-07
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  15. 2022-11-14
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  16. 2023-01-02
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  17. 2023-04-03
    Survey response — 6 months, dose 5
    MedDRA: Arthralgia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  18. 2023-04-03
    Report sent to call center — 6 months, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2023-04-05

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna No
22021-03-09Moderna No
32021-09-15Moderna No
42022-04-04Moderna No
52022-10-03Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2023-04-03 Unsuccessful

Free text

Release 12 — days 1–6 daily, dose 5

2022-10-07

Systemic reaction (other): Severe dizziness when sit up in bed and lay fown

2022-10-08

Systemic reaction (other): Severe dizziness when getting out of bed and when lie down

2022-10-09

Systemic reaction (other): Severe dizziness when sitting up in bed and lying down.

Release 12 — day 7, dose 5

2022-10-10

Systemic reaction (other): Severe dizziness when get up in bed or lie down

Release 12 — day 14, dose 5

2022-10-17

Symptoms: Extreme dizziness when get up from Bed and laying back down

Release 12 — day 21, dose 5

2022-10-24

Symptoms: Injured arthritic rt knee. Unable to bear wt. Doc gave me cortisone injection.

Release 12 — day 28, dose 5

2022-10-31

Symptoms: Continue to have severe dizziness when zi get up from bed or when I lay down

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDArthralgia · · ✓
SDDizziness · · ✓
SDDizziness postural · · ✓
SDOffice visit · · ✓
SDPre-existing disease · · ✓
SDWeight bearing difficulty · · ✓
SRODizziness · · ✓
SRODizziness postural · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release